title: Patterns of treatment of osteoradionecrosis with hyperbaric oxygen therapy in the United Kingdom.
abstract: We aimed to find out the number of patients with osteoradionecrosis (ORN) being treated by hyperbaric chambers in the UK during 2006-07, and the protocols that were being used. We did a telephone survey of 76 chambers to find out whether they treated patients with ORN, how many patients they treated in 2006-07, what chamber pressure they used, the duration of each session, and the total number of sessions/patient. A total of 25 chambers treated 273 patients with ORN in 2006-07; 10 were listed by the British Hyperbaric Association (BHA) and 15 were at multiple sclerosis (MS) centres. MS centres treated 23 (8%) of patients with ORN with a variable number of sessions of shorter duration and lower pressures than the chambers listed by the BHA. Most BHA chambers treated patients at 2.2 ATA for 90 min/session with 30 preoperative and 10 postoperative sessions/patient.
authors.affiliation: Department of Maxillofacial Surgery, Worcestershire Royal Hospital, Worcester, UK. jagdhanda@hotmail.com
authors.forename: J
authors.initials: J
authors.lastname: Dhanda
authors.forename: T J H
authors.initials: TJ
authors.lastname: Hall
authors.forename: A
authors.initials: A
authors.lastname: Wilkins
authors.forename: V
authors.initials: V
authors.lastname: Mason
authors.forename: J
authors.initials: J
authors.lastname: Catling
mesh_terms: D002985:Clinical Protocols; D016371:Cranial Irradiation / Q000009:adverse effects*; D006782:Hospitals, Special; D006801:Humans; D006931:Hyperbaric Oxygenation / Q000379:methods / Q000592:standards / Q000706:statistics & numerical data*; D007571:Jaw Diseases / Q000209:etiology / Q000628:therapy*; D009103:Multiple Sclerosis / Q000628:therapy; D010025:Osteoradionecrosis / Q000209:etiology / Q000628:therapy*; D019239:Practice Patterns, Dentists' / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D006113:United Kingdom